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FADAL PEDIATRIC DENTISTRY, PA
NPI 1194129627
Dentist - Pediatric Dentistry in Longview, TX

Active since October 13, 2014
5 DOCTOR CIR, LONGVIEW, TX 75605(903) 758-6406(903) 758-8116 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fadal Pediatric Dentistry, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FADAL PEDIATRIC DENTISTRY, PA (NPI 1194129627) is a healthcare organization registered as a pediatric dentistry in Longview, Texas and active in the NPI registry since October 2014. The organization lists Debbie Harris, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194129627
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFADAL PEDIATRIC DENTISTRY, PA
Location Address5 DOCTOR CIRLongview, TX 75605-5050
Mailing Address5 Doctor CirLongview, TX 75605-5050 · (903) 758-6406 · Fax (903) 758-8116
Phone(903) 758-6406
Fax(903) 758-8116
Organization SubpartNo
Authorized OfficialDebbie HarrisOffice Manager · (903) 758-6406
Enumeration DateOctober 13, 2014
✔ NPI 1194129627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
5 DOCTOR CIR, Longview, TX 75605
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC DENTAL ASSOCIATES, LLP
Dentist (Pediatric Dentistry)
5 DOCTOR CIR
LONGVIEW, TX 75605
Gregg County (903) 758-6406
DR. JUSTIN RAY HORNE D.D.S.
Dentist (Pediatric Dentistry)
5 DOCTOR CIR
LONGVIEW, TX 75605
Gregg County (903) 758-6406
DR. PHILIP JOHN THOMAS D.D.S.
Dentist (Pediatric Dentistry)
5 DOCTOR CIR
LONGVIEW, TX 75605
Gregg County (903) 758-6406
JENNIFER ANN ROGERS D.D.S.
Dentist (General Practice)
5 DOCTOR CIR
LONGVIEW, TX 75605
Gregg County (903) 758-6406
HORNE & MINER PEDIATRIC DENTRISTY, LLP
Dentist (Pediatric Dentistry)
5 DOCTOR CIR
LONGVIEW, TX 75605
Gregg County (903) 758-6406
DR. RONALD NELSON FADAL D.D.S.
Dentist (Pediatric Dentistry)
5 DOCTOR CIR
LONGVIEW, TX 75605
Gregg County (903) 758-6406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fadal Pediatric Dentistry, PA's NPI number?

The NPI number for Fadal Pediatric Dentistry, PA is 1194129627. It was assigned to this organization in the NPPES registry on October 13, 2014.

Where is Fadal Pediatric Dentistry, PA located?

Fadal Pediatric Dentistry, PA is located at 5 Doctor Cir, Longview, TX 75605. The listed phone number is (903) 758-6406.

What is Fadal Pediatric Dentistry, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Fadal Pediatric Dentistry, PA was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.